Intraventricular Dissecting Hematoma Diagnosed and Followed up by Multimodality Imaging

Intraventricular dissecting hematomas are rare and difficult to identify. We herein report the successful assessment, treatment, and follow-up of this condition using multimodality imaging. A 73-year-old man was hospitalized because of acute heart failure. The patient had a recent myocardial infarction in the left anterior descending artery. Echocardiography could not initially detect any obvious abnormalities, and anteroseptal wall thickness appeared to be preserved. However, cardiac CT and magnetic resonance imaging (MRI) revealed an intraventricular dissecting hematoma of the anteroseptal wall of the left ventricle with an impending rupture. The patient was successfully treated conservatively using medication. Cardiac CT and MRI were considered to be useful in the diagnosis and follow-up of hematoma.